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          <h1 class="post-title" itemprop="name headline">《牙周刮治基础与高级根面刮治》读书笔记09右利手医生的体位</h1>
        

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        <p><strong>Section2 右利手医生的体位（Positioning for the RIGHT-Handed Clinician)<br>8点钟体位（患者前方）</strong><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0079-yzgzjc09/01.jpg"><br>躯干位置：面对患者就坐，臀部在患者上臂的延长线上。<br>脚的位置：大腿靠着牙椅休息。<br>手臂位置：抬着手臂稍微远离身体侧面。右臂超过患者胸部。<strong>注意，不要把手臂放到患者的头部或胸部休息。</strong><br>视线：朝向前方，进入患者口腔。<br>基于人体工程学考量，使用8点钟体位应该被限制，因为它很难保持一个自然的手臂和躯干位置。尽可能减少使用该体位。<br><strong>9点钟体位(在患者侧方)</strong><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0079-yzgzjc09/02.jpg"><br>躯干位置：坐在患者手的侧方。医生躯干的中线平分患者口腔。<br>脚的位置：有两个可接受的位置。①横跨在牙椅的两侧；②在牙椅头靠的下方，而不是椅背的下方。横跨时能更好的维持自然体位，但如果你觉得不舒服，就还是在头靠下方吧。<br>手臂位置：右侧下臂抬起，与患者肩膀接近平齐。左手和腕部在患者的右眼上方。<br>视线：呈直线向下进入口腔。<br><strong>10-11点方向（接近头靠的边角）</strong><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0079-yzgzjc09/03.jpg"><br>躯体位置：坐在头靠的右侧边角的尖部方向，躯体中线平分患者的头侧区域(the temple region of the patient’s head)。<br>脚的位置：脚横跨在头靠边角的两侧。<br>手臂的位置：抬起右手，直接通过患者的口角。抬起左手，腕部在患者的鼻子和额部上方。<br>视线：直接向下进入患者口腔。<br><strong>12点钟方向（患者后方）</strong><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0079-yzgzjc09/04.jpg"><br>躯干位置：坐在患者头部之后。<br>脚的位置：横跨在头靠两侧。<br>手臂位置：抬起腕部和手臂，在患者耳朵和颊部上方。<br>视线：直接向下进入口腔。<br><strong>1-2点钟方向（接近左侧头靠）</strong><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0079-yzgzjc09/05.jpg"><br>躯干位置：坐在头靠的左侧边角位置，身体中线平分患者左侧头侧面。<br>脚的位置：横跨在头靠边角两侧。<br>手臂位置：抬起左手直接穿过患者的口角，右手和腕部在患者的鼻子和额部上方。<br>视线：直接向下进入患者口腔。<br>形成正确体位的步骤：我，我的患者，我的灯光(我的器械)，我的非主利手，我的主利手。<br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0079-yzgzjc09/06.jpg"><br>要照着书，一步一步的练。<br>不用浪费时间记忆每个区域的钟表位置，只要能识别前牙的位置模式就行了。在刮治中，每颗牙齿被划分为两半。<br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0079-yzgzjc09/07.jpg"><br>靠近医生一侧的前牙牙面。<br>这个区域的治疗采用8-9点钟的体位。<br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0079-yzgzjc09/08.jpg"><br>远离医生一侧的前牙牙面。<br>这个区域的治疗采用11-1点钟的体位。<br>具体体位<br><strong>下颌前牙，靠近医生。</strong><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0079-yzgzjc09/09.jpg"><br>医生在8-9点钟体位。<br>患者颏部下降，下颌牙合平面与地面尽可能平行。<br>患者头部保持正中或者左右旋转以利于牙齿表面的视线。<br><strong>上颌前牙，靠近医生。</strong><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0079-yzgzjc09/10.jpg"><br>医生位置位于8-9点钟位置。<br>患者抬颏，上颌牙合平面与地面垂直。<br>患者头部保持正中或者左右旋转以利于牙齿表面的视线。<br><strong>下颌前牙，远离医生</strong><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0079-yzgzjc09/11.jpg"><br>医生在11点到1点的位置。<br>患者降颏位，下颌牙合平面与地面平行。<br>患者头部保持正中或者左右旋转以利于牙齿表面的视线。<br><strong>上颌前牙，远离医生。</strong><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0079-yzgzjc09/12.jpg"><br>医生在11点到1点的位置。<br>患者降颏位，下颌牙合平面与地面平行。<br>患者头部保持正中或者左右旋转以利于牙齿表面的视线。<br>后牙的情况，同样分成靠近医生和远离医生两部分。<br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0079-yzgzjc09/13.jpg"><br>靠近医生一侧牙面，患者头远离医生，体位9点钟。<br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0079-yzgzjc09/14.jpg"><br>远离医生一侧，患者头靠近医生，体位在10-11点钟方向。<br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0079-yzgzjc09/15.jpg"><br>（具体不在赘述了，原书好像弄反了。牙位和头的方向应该是反的。总结一下，只有下前牙靠近医生一侧治疗时，才使用8-9点钟位。牙面方向跟头偏的方向相反。前牙远离医生一侧使用正后位，后牙使用9-11点钟位置。）<br>(section3是左利手医生的体位，跳过了。)<br>我发文章的三个地方，欢迎大家在朋友圈等地方分享，欢迎点“在看”。<br>我的个人博客地址：<a href="https://zwdnet.github.io/">https://zwdnet.github.io</a><br>我的知乎文章地址： <a target="_blank" rel="noopener" href="https://www.zhihu.com/people/zhao-you-min/posts">https://www.zhihu.com/people/zhao-you-min/posts</a><br>我的微信个人订阅号：赵瑜敏的口腔医学学习园地</p>
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